Who should pay for treatment for survivors of abuse who have gone on to develop a dissociative disorder? For many conditions the expectation would be that help would be available on the NHS, but this is rarely the case for conditions arising from trauma.

Powerlessness is such a core experience for victims of abuse that often we don’t even notice that it’s there. It is played out in the way that we interact with people and the world – it’s the shadow cast by the sun, rather than the sunlight itself.

I look up and I am in my therapist’s room. I look up and I am in the cafe area of the shopping mall. I look up and I am in bed in the dark. I look up and I don’t know if I am I. There is no thread of continuity between these places, these experiences. Who am I now, writing this, re-reading this, re-writing this?